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Description Healthcare isn't just about health anymore. It's about caring for ... one the nation's leading integrated health companies, Humana, we put the ... make our centers a leading health..
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Description The Referral Coordinator 1 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator 1 performs basic administrative/clerical/operational/customer ..
Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..
... Open until filled. For more information contact: Siham Omran International Leadership ... first aid care, and conduct health screenings. Qualifications: Education/Certification: High School ... six months of experience in..
... profitability while improving our member's health and costs. This role functions ... of insights from the gathered information. Responsibilities Responsibilities include the following: ... Role Desirables Board Certified Pharmacotherapy..
... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum health. We provide telephonic outreach to ... to assess and support their..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Description The Clinical Programs Pharmacy Technician Representative 2 integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Clinical Programs Pharmacy Technician Representative 2 performs varied ..
Job Information Humana Physician - CenterWell - ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being..
Description o Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical ..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
Job Information Humana Actuary, Risk and Compliance ... Compliance role assesses and communicates information regarding actuarial/business risks across the ... healthcare company committed to putting health and safety first for..
... on medical background and reviews health claims. The Medical Director work ... phone to gather additional clinical information or discuss determinations regularly, and ... relationships, value based care, population..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description Healthcare isn't just about health anymore. It's about caring for ... care referral paperwork. Gathers pertinent information from physicians, nurse practitioners and ... Responds to patient inquiries regarding health..
Job Information Humana Supervisor, Medical Coding in ... Supervisor, Medical Coding extracts clinical information from a variety of medical ... clarifies internal requests for medical information Decisions are typically are..
Description The Supervisor, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Supervisor, Care Management works within thorough, prescribed guidelines and procedures; uses independent judgment ..
... Open until filled. For more information contact: Siham Omran International Leadership ... Campus Primary Purpose: Implement district health services program to best meets ... on the assigned campus. Provide..
... profitability while improving our member's health and costs. This role functions ... trend while improving our member's health and costs. Developing concrete trend ... trend mitigation opportunities from abstract..
... Bachelor's Degree in Business Administration, Health Administration or a related field ... medical terminology and/or coding Additional Information Work at Home/Remote Requirements Must ... and email to gather more..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities ..